Red Shirt Medical Associates, PC

NPI #1184028292 in Port Jefferson Station, New York

Provider Information

NPI Number: 1184028292
Entity Type: Organization
Organization Name: Red Shirt Medical Associates, PC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 17, 2014
Last Updated: Oct 17, 2014

Practice Location

Address: 931 HALLOCK AVE
City: Port Jefferson Station
State: New York
ZIP Code: 11776-1228
Phone: (347) 417-9081

Authorized Official

Name: MRS. JESSICA DALEY
Title: ACCOUNT EXECUTIVE
Phone: (347) 417-9081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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